Trach ties...

[SDALPN]

Are the schools teaching something new, or are the nurses not trained right, or are they just doing what they want?

I've seen more and more nurses put trach ties on so the foam part goes through the trach instead of just the Velcro. Its silly and makes no sense at all. I can remove the tie with one hand with just the Velcro through. But when the thick foam is pulled through, it takes two hands. Even saw one today where the nurse turned it inside out and then pulled the foam through. That means she had to undo the Velcro and reverse it before putting it on wrong. Why all the extra work?

[smartnurse1982]

it depends.

If its Dale Pedi Ducks or Pedistars,i would not understand why they do it. They do have the adjustable velcro in the back of the neck,in addition to the sides.

Those are the best brand in my opinion.

This other brand i cannot STAND and with those you have to pull the foam through or else the trach will definately fall out.

This bran does not have velcro in the back of the neck like Dale does,only velcro on the sides.

I think they are from Pepper Medical

We cannot adjust it from the back,only the sides

[SDALPN]

it depends.

If its Dale Pedi Ducks or Pedistars,i would not understand why they do it. They do have the adjustable velcro in the back of the neck,in addition to the sides.

Those are the best brand in my opinion.

This other brand i cannot STAND and with those you have to pull the foam through or else the trach will definately fall out.

This bran does not have velcro in the back of the neck like Dale does,only velcro on the sides.

I think they are from Pepper Medical

We cannot adjust it from the back,only the sides

That's different. I'm talking about the ties with Velcro. Dale makes one that you pull through and its an adult tie. But that is thinner on the part to pull through and meant for that. I've never liked that tie, but its not that common at least. The ones I'm talking about have Velcro and aren't meant to be pulled through.

[ceebeejay]

the only thing i can think of is that this is done in an attempt to avoid having the plastic (the back of the velcro strap) touch the skin, but usually the split gauze covers this area anyway

do these pt.'s not use trach sponges around the stoma?

would be interesting to find out the rationale behind this, because i sure can't think of

anything that makes sense either

This is what I was thinking. I saw a mom start to do that because she did not have the sponges. I had to explain the risk of the ties coming lose because there was inadequate contact are of the velcro.

[Nibbles1]

Im literally trying to visualize how the gauze is being put on through the flanges. I sometimes catch the gauze with the Velcro part putting it through the loop but never on propose.

[brillohead, ADN, RN]

Im literally trying to visualize how the gauze is being put on through the flanges. I sometimes catch the gauze with the Velcro part putting it through the loop but never on propose.

Not the guaze, the FOAM of the ties is going through the flange.

The ties are a foamy strap material with a skinny velcro strap on the end (separate from the wider piece of velcro that fastens the two ties together around the neck), and only the velcro is supposed to go through the flange's holes and fasten back onto the foam strap.

But if you yank really hard and bend the corners of the foam over, you can pull the part that is supposed to just stay around the neck up and through the flange holes too, after you pull the whole entire skinny velcro strip through. Then, in order to remove the ties from the flange, you have to wiggle and pull to back the foam part back out of the flange holes.... all that finagling is the problem.

[Nibbles1]

Oh I got it! Thank you for clarifying. I wasn't taught that way either. I learned with a shoelace in school. Trained with my company. They never taught us that. Looks like that would by too tight around the neck. I'd like to know the rationale as well.

[smartnurse1982]

Oh I got it! Thank you for clarifying. I wasn't taught that way either. I learned with a shoelace in school. Trained with my company. They never taught us that. Looks like that would by too tight around the neck. I'd like to know the rationale as well.

I know with some trach ties you have to pull the foam though,as there is no velcro piece on the back of the trach ties. ?they only have the front velcro pieces(those ties are a pain in the ass to make them tight) they are from Pepper Medical.

[brillohead, ADN, RN]

I know with some trach ties you have to pull the foam though,as there is no velcro piece on the back of the trach ties. ?they only have the front velcro pieces(those ties are a pain in the ass to make them tight) they are from Pepper Medical.

Sounds like you need a new DME supplier.... Pepper Medical ALSO makes the kind with the velcro to connect the two ties together!

[smartnurse1982]

Sounds like you need a new DME supplier.... Pepper Medical ALSO makes the kind with the velcro to connect the two ties together!

Another trach tie maker that does have velcro in the back is Posey.

i did not know that about Pepper btw.

i hardly see the trach ties with velcro in the back anymore.